Cordova, Vanessa Marie
Cordova, Vanessa Marie is an sole proprietor health care provider with primary practice located at Carr 3 Km 19.9 East Medical Professional Center , Canovanas PR 00738. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cordova, Vanessa Marie can be contacted via phone (787) 256-6060.Contact Information
Primary practice address
Carr 3 Km 19.9 East Medical Professional Center
Canovanas PR 00738
Phone: (787) 256-6060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 757 | Puerto Rico |
Profile Details
| NPI number | 1457097412 |
|---|---|
| LBN Legal business name | Cordova, Vanessa Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2022 |
| Last updated | Jul 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457097412 | NPPES |
| Puerto Rico | Other | 757 | LICENSE OD |
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